Organization
FREEDOM TO BLOSSOM
Active
Other names
Kayla Farabaugh, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA FARABAUGH LCSW (MEMBER)
(703) 867-2667
Entity
Organization
Contact information
Practice address
522 KENSINGTON PARK DR, CANTON, GA 30114-8828
(703) 867-2667
Mailing address
522 KENSINGTON PARK DR, CANTON, GA 30114-8828
(703) 867-2667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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